Minimally Invasive Hip Replacement

Minimally invasive surgery for rapid recovery and return to function.

Hip replacement surgery is a highly successful procedure for the treatment of arthritis. Its success depends on correct patient selection, using an appropriate, proven prosthesis and utilising a proven, efficacious surgical technique.

Hip replacement surgery (known as hip arthroplasty) has been a very successful procedure over many decades.

The techniques and prostheses have been modified since its initial successful use by Sir John Charnley. Then procedure now has over 20 years of jopint registry follow up showing outstanding, durable outcomes. They have been used in many hospitals around the world with uniformly successful outcomes. The prostheses used in this practice have excellent follow up results.

The technique utilised by Mr. Zayontz is a highly specialised minimally invasive surgical approach preventing excessive or prolonged pressure on the key muscles and is combined with a fast stream rehabilitation routine; this allows a rapid recovery from the procedure without compromising the long term success. Specifically, a posterior approach is used which allows the capsule and tendons to be carefully reconstructed anatomically. Meticulous infiltration with a local anaesthetic permits immediate mobilisation, reducing the risk of blood clots. This also minimises the time spent in hospital, thereby reducing the risk of infection and other problems.

The prosthesis (from Zimmer) used is individually tailored to the patient: the socket (acetabulum) is made of a titanium shell and a liner that utilises highly cross linked polyethylene. The stem is also made of titanium. The ball (femoral head) is ceramic. In some cases, a "cemented" stem is used to augment the bone.

Benefits

  • Reduced pain
  • Walking immediately after surgery (within 2-3 hours)
  • Long term health benefits by increasing walking and exercise
  • Improves quality of life
  • Enjoyable lifestyle activities, such as overseas travel

Considerations

  • Willing to participate in a rapid recovery program
  • Early mobilisation and discharge reduces the risk of blood clots
  • Risk of dislocation similar to other techniques (under 1%)
  • Infection rare (using this unique technique low muscle trauma and stretching leaves tissues healthier and less prone to infection)
  • 4 measuring methods used intraoperatively to minimise risk of a leg length discrepancy as well as specialised AI guided pre operative measurements.
  • Nerve injury rare (<1%) and generally recovers

Shay Zayontz

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